Epidemiology in Thailand:Rising prevalence of prediabetes and diabetes. In Nakhon Si Thammarat, particularly Pak Phanang District, 9.6-15.4% of the population is affected. National diabetes incidence rate: 501.3 - 605.7 per 100,000 people.Risk of Progression: 60% of prediabetic individuals develop T2DM within 5-10 years without intervention. Increased risk for cardiovascular diseases (CVD). Higher chances of developing chronic kidney disease (CKD), diabetic retinopathy, and diabetic neuropat
Conditions
Interventions
12 weeks of intervention online counselling with the PreDM coaching app.
Low carb /count carb diet
Step counting,No intervention.
12 weeks
The control group received Usual care with a poster on how t
Experimental Behavioral,No Intervention No treatment
MI health Coaching ,Usual care
Sponsors
Thammasat University
Walailak university
Eligibility
Sex/Gender
All
Age
35 Years to 59 Years
Inclusion criteria
Inclusion criteria: Age Range: 35-59 years old. Health Condition: Diagnosed with prediabetes, defined by: Fasting Plasma Glucose (FPG): 100-125 mg/dL. Impaired Glucose Tolerance (IGT): 140-199 mg/dL after a 2-hour oral glucose tolerance test (OGTT). Hemoglobin A1c (HbA1c): 5.7-6.4%. Residency: Must live in Pak Phanang District, Nakhon Si Thammarat, Thailand. Willingness to Participate: Voluntarily agrees to join the study. Provide written informed consent. Technology Access & Literacy: Owns and can use a smartphone. Comfortable using an online health coaching application. Physical & Cognitive Ability: Capable of participating in motivational counseling sessions. No severe cognitive impairment or psychiatric disorders affecting participation. Medical Stability: No diagnosed Type 2 Diabetes Mellitus (T2DM). No severe complications (e.g., end-stage kidney disease, severe cardiovascular diseases).
Exclusion criteria
Exclusion criteria: Diagnosis of Type 2 Diabetes Mellitus (T2DM): Severe Health Conditions: End-stage kidney disease. Severe cardiovascular diseases (e.g., recent heart attack, stroke). Uncontrolled hypertension or other conditions that may interfere with participation. Pregnancy: Women who are currently pregnant or planning pregnancy during the study period. Cognitive or Psychological Impairments: Individuals with severe cognitive impairment or mental health disorders that affect their ability to participate (e.g., severe depression, schizophrenia). Inability to Use Technology: Lack of access to a smartphone or internet connection. Difficulty using online health coaching applications. Inability to Provide Consent: Those unable to understand or sign informed consent due to language barriers or mental incapacity.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Changes in blood glucose levels and lifestyle behaviors. 3 months FBG, HbA1c | — |
Secondary
| Measure | Time frame |
|---|---|
| Effectiveness and feasibility assessment. 3 months Satisfaction,DM Risk Reduction Behavior Pre-post Mean Difference,DM Risk Score Pre-post Mean Difference,Motivation Score Pre-post Mean Difference | — |
Countries
Thailand
Contacts
Public ContactPaleeratana Wongrith
Walailak University
Outcome results
None listed